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  • JSNA Programme Update

    Knowledge & Intelligence

    Public Health Division October 2019

    Southwark’s Joint Strategic Needs Assessment

  • Slide 2

    Report title: JSNA Programme Update

    Status: Public

    Prepared by: C Williamson

    Contributors:

    Approved by: K Fenton

    Suggested citation: JSNA Programme Update. Southwark’s Joint Strategic

    Needs Assessment. Southwark Council: London. 2019.

    Contact details: [email protected]

    Date of publication: October 2019

    GATEWAY INFORMATION

    mailto:[email protected]

  • The JSNA is an ongoing process that underpins the

    local plans and policies to improve health

    The Joint Strategic Needs Assessment (JSNA) is the ongoing process through which

    we seek to identify the current and future health and wellbeing needs of our local

    population. The JSNA informs and underpins the Joint Health and Wellbeing Strategy

    and other local plans that seek to improve the health of our residents.

     Local Authorities and Clinical Commissioning Groups (CCGs) have an equal and joint

    statutory duty to prepare the JSNA through the Health & Wellbeing Board (under both

    the Health and Social Care Act 2012 and the Local Government and Public Involvement

    in Health Act 2007 s116 and s116A).

     Local areas are free to undertake JSNAs in a way best suited to their local

    circumstances – there is no format that must be used and no mandatory dataset.

     In Southwark, the annual work programme for the JSNA is aligned to four themes to

    ensure it covers the breadth of issues affecting health and wellbeing:

     Domain 1 - population groups

     Domain 2 - behaviours and risk factors

     Domain 3 - wider determinants of health

     Domain 4 - health conditions and healthcare

     Southwark’s JSNA is accessible via: www.southwark.gov.uk/jsna

    BACKGROUND

    Slide 3

    http://www.southwark.gov.uk/jsna

  • This report provides an update on progress and impact

    of the Southwark JSNA programme

    This report provides an update on progress against the JSNA work programme

    and how the work has been used to inform local decision making. Specifically the

    report:

    1. Summarises the status of projects that form part of the JSNA work programme.

    2. Provides case studies of how projects have been used to inform local decision

    making, from a policy or commissioning perspective.

    3. Outlines current work programme for 2019-20.

    BACKGROUND

    Slide 4

  • Background

    Section 1: JSNA Programme Update

    Section 2: Use and Impact of the JSNA

    Section 3: Developing the 2019-20 JSNA Programme

    CONTENTS

    Slide 5

  • The JSNA programme has covered a wide range of

    projects since being redeveloped, with more underway

    SECTION 1: JSNA PROGRAMME UPDATE

    Slide 6

    Population groups Health conditions &

    healthcare

    Wider determinants of

    health

    Behaviours and risk

    factors A

    Demography Factsheet CVD Prevention HNA Air Quality HNA Active Travel HNA

    Protected Characteristics

    Factsheet Long-term Condition Factsheet Housing Quality HNA Alcohol HNA

    School-age Children HNA Mental Health HNA FGM Factsheet Cumulative Impact Zones HNA

    Children with SEND HNA Bowel Cancer Screening HNA Food security HNA Drug-Related Deaths Factsheet

    Learning Disabilities HNA Suicide Factsheet Youth violence HNA Healthy Weight HNA

    Rough Sleepers HNA PNA Health-related worklessness HNA Oral Health of CYP HNA

    Early Years HNA Immunisations HNA Emotional health and wellbeing of

    CYP HNA

    Cervical Cancer screening HNA Club drugs HNA

    Self-Harm HNA Sexual Health Factsheet

    Winter Pressures Factsheet Smoking HNA

    Dementia HNA

    Planning In progress Complete

    Project Status:

  • All JSNA reports and related materials are accessible via

    the Southwark Council website

    SECTION 1: JSNA PROGRAMME UPDATE

    Slide 7

    All of our JSNA reports are published via the Council website: southwark.gov.uk/jsna .

    Related materials published by external organisations are also available e.g.: NHS

    Rightcare and Public Health England.

    http://www.southwark.gov.uk/jsna http://www.southwark.gov.uk/jsna http://www.southwark.gov.uk/jsna

  • Background

    Section 1: JSNA Programme Update

    Section 2: Use and Impact of the JSNA

    Section 3: Developing the 2019-20 JSNA Programme

    CONTENTS

    Slide 8

  • Project leads are asked to review the findings and impact

    of their work 6mths and 12mths from completion

    SECTION 2: USING THE JSNA TO INFORM DECISIONS

    Slide 9

    In order to understand the impact of JSNA projects and how they may have supported

    change, we have begun to ask project leads to include an evaluation phase to their

    work, 6months and 12months following the completion of their report.

    To minimise the burden of work on officers, we are adopting a light touch approach to the

    evaluation process, however it may be beneficial to undertake more in-depth evaluations on a

    select number of projects.

    As part of the evaluation process project leads are asked to outline:

     Aims and objectives of the original project

     Key findings

     Use and impact of the report since publication

     Reflections and lessons learnt

    This section of the report presents a summary of a number of project reviews that have been

    completed. Additional reviews will be made available as they are completed.

  • This page briefly summarises the findings and use of the

    JSNA project on sexual health

    SECTION 2: USING THE JSNA TO INFORM DECISIONS

    Slide 10

    A JSNA report focusing on the sexual health across Lambeth, Southwark and

    Lewisham was published in December 2018. A copy of the full report is available here.

    Key findings  There is a high burden of sexual ill-health across Lambeth, Southwark and Lewisham, with over 22,000 new sexually transmitted infections in 2017. Southwark has the second highest rate of STIs

    diagnoses in the country.

     While most STIs are decreasing, rates of gonorrhoea and syphilis are increasing. This is of particular

    concern to due anti-microbial resistance and the severity of syphilis.

     Lambeth, Southwark and Lewisham have amongst the highest diagnosed prevalence of HIV in

    England. Across the three boroughs almost 8,500 people were seen for HIV care in 2017.

     New HIV diagnosis rates are slowing, however too many people still receive a late diagnosis.

    Use and

    impact of the

    project

    This report has formed an integral part of the new five-year Lambeth, Southwark & Lewisham Sexual and

    Reproductive Health Strategy (2019-24) and has helped direct strategic priorities and resource allocation.

     Data have informed the procurement of a new sexual health promotion service across LSL

     Findings have also been used in subsequent health needs assessments on contraception and HIV

    The data in this review have also supported local conversations about access to contraception,

    particularly long-activing reversible contraception.

    https://www.southwark.gov.uk/assets/attach/8975/LSL-SRHS_2019-24_Statistical-appendix.pdf https://www.southwark.gov.uk/assets/attach/8949/LSL-SRHS_2019-24.pdf https://www.southwark.gov.uk/assets/attach/8949/LSL-SRHS_2019-24.pdf https://www.southwark.gov.uk/assets/attach/8949/LSL-SRHS_2019-24.pdf https://www.southwark.gov.uk/assets/attach/8949/LSL-SRHS_2019-24.pdf

  • This page briefly summarises the findings and use of the

    JSNA project on immunisations

    SECTION 2: USING THE JSNA TO INFORM DECISIONS

    Slide 11

    A series of JSNA reports focusing on the immunisations in Southwark was published

    in April 2019. A copy of the reports is available here.

    Key findings  Uptake of pre-school vaccinations in Southwark is generally consistent with that in the rest of London, although fall below target levels.

     School-age vaccination coverage in Southwark generally meets the targets set by NHS England,

    however, there is room for improvement.

     All adult programmes fall below targets and there is considerable variation in uptake between

    practices.

     Improved call/recall systems, flow and management of data, and increasing consistency and

    frequency with which immunisation information is provided can help improve coverage in Southwark.

    Use and

    impact of

    the project

    The JSNA report on immunisations has led to the development of a Southwark Immunisation Strategy

    and Action Plan, which aims to reverse the downward trend in immunisation coverage and reduce

    inequalities by addressing barriers to uptake

     An ambition to achieve a 5% relative increase in coverage for each programme by March 2021 has

    been set.

     Five key priority areas have been identified: reducing

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